Active NPI
Ken Kankibaho Kabukuru, MS, BCBA, LBA
- Behavior Analyst
- New Orleans, LA
National Provider Identifier
1760029664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-713
- Practice address
- 923 Constantinople St
New Orleans, LA 70115-2744 - Phone
- (818) 793-9353
- NPI assigned
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | L-713 | LA | Primary |
Addresses
Primary practice location
923 Constantinople St
New Orleans, LA 70115-2744
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (888) 880-9270
Other practice location 1
249 South Ave 55 Apt 213
Los Angeles, CA 90042-4641
Phone (818) 793-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-713 | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1760029664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FAIRWAY DR STE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411834",
"telephone_number": "888-880-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 CONSTANTINOPLE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701152744",
"telephone_number": "818-793-9353"
}
],
"practiceLocations": [
{
"address_1": "249 South Ave 55 Apt 213",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900424641",
"country_code": "US",
"telephone_number": "818-793-9353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KABUKURU",
"first_name": "KEN",
"middle_name": "KANKIBAHO",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-10",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.